Assisted Living: Most Popular Articles
The nursing home administrator is a leader in the organization who not only directs its operations but in a large part is responsible for setting the tone of the culture. Now more than ever, true leaders are needed in this area of healthcare. Let's look at this position, its responsibilities, training requirements, expected salary and career advancement opportunities.
At the heart of any nursing or assisted living home is the activity program. It is an integral part of the cultural change movement and central to person-centered care. It is essential for resident quality of life.
An individualized, well though out activities program is at the heart of a quality life for residents in nursing homes or assisted living residences. Activities is not just about bingo and watching television. In fact, activity programs can be quite creative and stimulating for the mind. And the health and well-being benefits of a good program are becoming more and more documented. In short, this stuff works.
Many older Americans routinely engage in vaginal intercourse, oral sex and masturbation according to a federally funded study published by the New England Journal of Medicine. Yet sex in long-term care facilities among residents is still a taboo subject. Let's look at this a little closer.
As more baby boomers enter retirement, more than ever there is a need for qualified activity directors. To this end, the National Certification Council of Activity Professionals (NCCAP) has put in place a new national exam designed to elevate the level of the profession and practitioner.
The Director of Nursing Services (DON) works in concert with the Administrator and directs the Nursing Department to maintain quality standards of care in accordance with Federal, State and facility standards, guidelines and regulations.
The Centers for Medicare and Medicaid ServicesÃÂ¢ÃÂÃÂ (CMS) tool for care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. MDS 3.0 was introduced in the fall of 2010. This article provides an overview.
Food services in long-term care has come a long way, both in quality and taste as well as service and choice. Resident-centered food service is an essential part of the culture change movement in long-term care homes. Simple things to you and I like eating when you want, what you want and where you want have been, up until recently, something foreign to long-term care.
With an increased desire to “age in place”, more and more services are being delivered straight to the home. One of the fastest growing businesses is non-medical home care.
In most retirement communities women residents outnumber the men. It’s a fact of life for most activity directors but planning for men’s activities is also a must. In this article we look at some ideas for successful men’s programming.
With the growing trend for payers to want to keep people out of assisted living and skilled nursing facilities, other aging services become increasingly important. One of those is adult day care or adult day services (ADS). And with increased importance comes increased scrutiny. This article provides an overview of adult day care rules and regulations. They will continue to evolve.
Residential living communities for seniors share more than an aging population. Each has a unique responsibility to provide for the mental well being of their residents. The activities program is one way to provide for that well being and the Certified Therapeutic Recreation Specialist is a unique individual specially-trained to administer an effective activities program.
Activity directors spend a lot of time planning engaging programs for their residents. Despite working hard to offer a variety of programming for residents of all ages and abilities, there is still the task of serving residents who by desire or illness refuse to leave their rooms.
As caregivers and families cope with the overwhelming stress of caring for a loved one, a new profession, that of the Geriatric Care Manager is cropping up. A Geriatric Care Manager can help families who are caring for older relatives.
One of the workforce issues in long-term care is that for many it is simply a job and not a career. With low retention and high turnover, low wages and minimal benefits, workers cannot see clearly that there is a career progression. In this article hub we look at the concept of career ladders in long-term care, especially important for certified nursing assistants (CNA) and home health aides (HHA).
There are almost 40 million people aged 65+ in the United States. Here's a rundown of what this means for the economy.
The Wheel of Chance game helps cognitive function. Studies show that patients who participate in activities that target cognition and social interaction receive significant improvement.
Think knitting is a stereotypical activity in nursing homes and AL? Think again. It can be a therapeutic activity that also teaches residents new skills.
Maya Angelou asked the audience to be the rainbow in the clouds of others.
Is your assisted living marketing and sales approach stale? Do you need to recharge your marketing to increase referrals and closes? Getting to a full occupancy and being profitable in today’s business environment requires a totally different marketing approach. By continuing to pursue the same old, ineffective methods, you will get the same old results. Here are six suggestions to get you thinking.
Do you enjoy working with the elderly? Do you like a job that requires flexibility, ongoing learning, organization, communication skills and openness to new experiences? Then a career as an activity professional may be for you!
The power of music and what it does to bring back memories is undeniable. In addition to enhancing quality of life, there are health benefits to an effective music program. It has been documented that seniors participating in music use fewer medications, fell less depressed, are less lonely, have higher morale and are more socially active. Let’s look at some of the science and the implication for activity directors. Let's find out how incorporate music into your activities.
Advanced planning is imperative for seniors who wish to shelter their life savings from the cost of long-term care. Here is some information to get you started.
What is the future of aging in place? People sure want it. The problem is that the system of support services to facilitate aging in place treats symptoms not causes. In this article we will define a vision for aging in place and look at some of the trends and opportunities for service providers.
Everyone has a memory of going to a carnival. Yet many of our elders are no longer capable of getting out to one. Solution - bring the carnival to them. Here's how to stage a carnival in your facility. No clowning around!
With hospice under scrutiny, it is hard to market these services. Especially since most people don't want to have the conversation around death and dying of a loved one. There is a broader way to approach the subject. Start a broader campaign that people can embrace and which starts the conversation around end of life issues.
Culture change is a movement in healthcare to revolve the care around the resident based on their unique needs and interests. It has been hard to take hold because the business case for culture change has not always been articulated. Reluctant CEOs and CFOs who view this as fuzzy need to understand the return on investment. There is a mistaken notion that to achieve resident-centered care you have to tear down and rebuild your facility. What you have to do is tear down and rebuild your thinking.
Using science for seniors as part of your activities program can help stimulate the brain and contribute to resident quality of life. A one-hour hands-on program called Science for Seniors, created by the author has four parts: select a topic, present fun facts, watch a video on the subject and do a safe experiment with residents. Let's experiment and see how we can bring science projects to our nursing and assisted living residents.
This article covers how to become a Medicaid provider and file a claim with Medicaid.
Site, smell, sounds, touch all invoke memories and an effective activities program that incorporates memory care can really add to the quality of life of elders and others who we encounter in aging services across the continuum of care. Here's how to do it.
Adult day services design, environment and safety issues are paramount to quality of life for residents. We look at these issues in our continuing series of certification requirements for adult day services.
Elder day care offers both respite for caregivers as well a much needed socialization for seniors. Here are the characteristics of a typical center.
Chair Chi is an exercise program based on the principals of Tai Chi Chuan, but designed for the elderly, in nursing homes, adult day centers, etc..
With so much emphasis on quality and satisfaction in healthcare, nursing homes have begun to measure their performance. My InnerView is a company that provides senior care leaders evidence-based management tools. While this article is not an endorsement, it remains that My InnerView has a handle on industry effectiveness more so than any other entity. In this article we will look at their latest report on the industry, the National Survey of Consumer and Workforce Satisfaction in Nursing Homes.
Art projects for seniors can enhance their quality of life while helping them learn a new skill. One innovative program brings a professional artist and all the needed supplies to help residents of all skill levels, beginners to professionals, and all cognitive levels, independent through dementia, express their talents.
Brand extension is a marketing strategy used to leverage an organization's good name through related and complementary product and service offerings.
It is important to accurately capturing ADLs (Activities of Daily Living) data when completing scheduled MDS 3.0 assessments for Medicare and Medicaid reimbursement purposes. While compliance is needed for reimbursement, it is also essential to have an accurately completed MDS 3.0 assessment so that an individualized plan of care can be developed.
Pleasing scents help relax people with Alzheimer’s and dementia. In this article we explore how to use aromatherapy with these patients.
The Centers for Medicare and Medicaid Services' (CMS) tool for facilitating care management in nursing homes is called the Minimum Data Set (MDS), a core set of screening and assessment elements that is part of a Resident Assessment Instrument (RAI). The RAI provides a comprehensive and standardized assessment of each long-term care facility resident's functional capabilities and helps staff to identify health problems. In this series, we examine seven areas of care.
The power of music and what it does to bring back memories is undeniable. In addition to enhancing quality of life, there are health benefits to an effective music program. It has been documented that seniors participating in music use fewer medications, fell less depressed, are less lonely, have higher morale and are more socially active.
Falls are a leading cause of injury, morbidity, and mortality in older adults. MDS 3.0 falls guidelines look to help providers minimize fall risk while treating fall injuries with the goal of achieving the best quality of life for residents.
Environmental services in long-term care across all settings is more than just keeping a clean and safe environment. It is also about providing a home to residents. The greatest challenge a long-term care environmental services team faces is embracing the psychological and emotional toll residential care puts on the residents and their families.
The level of cognitive ability among nursing home residents helps determine a proper care plan and therefore contributes to their quality of care and quality of life. In the past understanding cognitive patterns was done by simply observing residents and making notes of what was observed. Much has changed under MDS 3.0.
The Program of All-Inclusive Care for the Elderly (PACE) is a comprehensive care delivery system that allows what traditionally would be thought of as nursing home residents to continue living at home while receiving services.
One of the most difficult challenges of caring for someone with Alzheimer’s disease or dementia is the person’s withdraw from favorite activities. Christy Schmid faced this problem with long time family friend Bernice. She realized Bernice didn’t need just any ‘childish busy work’ but rather something that gave her the internal feeling of completing a task. To meet Bernice’s needs, through research, and lots of trial and error, Schmid created The Busy Bee Lap Pad.
Whether you are an organization of 5,000 or 5, marketing will be the key to success. Yet many organizations do not know where to begin. And even organizations with highly-skilled marketing departments may not have their priorities in place. A marketing audit could be the most valuable investment you make in your company.
The long-term care industry is vastly misunderstood and usually lumped together as one entity. Most suffer from the image that carries over from perceptions of skilled nursing facilities - not only is a facility the place people go to die but that it is also a place where elders are abused. Actual statistics do not support the perception of rampant abuse; however, no abuse can be tolerated. This article looks at preventing, monitoring and identifying abusive behavior by your staff.
Direct care workers have hard jobs, are low paid, and nearly ever receive the rewards and recognition deserved. That is why employee retention is so hard to achieve in aging services. When a position is viewed as simply a job and not a career, it is easy to see why people leave for better paying jobs outside the industry. Employee retention in aging services is a big issue that will become even bigger as the population ages. Let’s look at some strategies to help retain the best workforce.
The economy is driven on word of mouth. People seek out referrals all the time from friends, families, neighbors. The referral is a story and if it is a good story, that is one that results in business, well than it is a testimonial waiting to happen. Testimonials are the life-blood of the healthcare business. Often emotional, they attract attention and can be used to obtain more business.
Communicating effectively with residents, patients and families is key to providing quality health care. The manner in which you communicate information can be equally as important as the information.
A Franchise Business Review (FBR) 2012 Special Report on Senior Care Businesses paints a rosy portrait for the home care industry.
The best tool for any activity director is education! There is valuable information in the activity director certification as well as the college courses required for certified therapeutic recreation specialists. There is also another source of information - the printed word. The newest research into brain chemistry, the aging process, dementia and other issues confronting seniors is addressed in numerous books with scientifically proven ideas. Let's take a look.
Writing workshops with small groups of residents as well as in one-on-one sessions can produce personalized articles, booklets, books and/or DVDs as mini-biographies to share with family and friends.
With the continued push towards aging in place, adult day services or adult day centers play a vital role in the quality of life for our seniors. In this hub we look at statistics for the industry, state rules and regulations, certification, record keeping, service requirements, design environment and safety, as well as staffing.
A majority of older Americans will spend at least a short term stay recovering and rehabbing from medical miracles such as hip, knee and other joint replacements as well as serious medical conditions, ranging from a broken bone to a stroke. That is a challenge for activity directors.
While the desire for most people is to age in place, you don’t need to dig far to find the crippling health statistics that suggest people will need nursing homes and assisted living homes. Designing the home of the future with a focus on person-centered care will be crucial. Future residents will demand a different model.
There are many old stereotypes when it comes to memory care design. While respecting the research that deals with colors, patterns, sights and sounds, you can use bold design to enrich the lives of residents.
Here are some activities for the month of September for activity directors in nursing homes and assisted living. Let's look at calendar girls!
One of the fastest growing segments of the economy is healthcare so you would think it would be easy to recruit the best healthcare workers for aging services businesses. Recruiting qualified healthcare workers for aging services has proven hard. There are some systemic issues related to this. So you need to start at the 50,000 foot level to understand the causes so you can move beyond the symptoms.
The quiet issue is big in hospitals, nursing homes and assisted living environments. Noise contributes to poor sleep and other health issues. Silverado Senior Living's quest to provide the highest quality of life and to maintain a home like environment for their residents, lead to a search to find a quiet and efficient nurse call system, getting away from overhead paging, loud radios and one way pagers.
If you are new to aging services and are considering a career that involves caring for elders in a home-like environment, you need to know the differences between a Continuing Care Retirement Community (CCRC), an Assisted Living Facility (AL), and a Skilled Nursing Facility or Nursing Home (SNF.
Art projects for seniors can enhance their quality of life while helping them learn a new skill. Art appreciation also helps foster lifelong learning and mind stimulation.
Person Centered Experiences-The Importance of Modeling Other Industries.
Hand hygiene and good infection control practices in nursing homes and other care settings can go a long way in helping contain germs and disease.
Communication is one of the first casualties of dementia. Because dementia affects memory, people with dementia have difficulty following the thread of a conversation. “Reawakening” a person to the “real world” used to be the norm for caregivers. But newer studies have shown that these small corrections shatter that person's reality. This realization gave birth to a new form of communicating and dealing with people with dementia.
Activity professionals in care facilities are often faced with assisting a resident, and with them their friends and families, through a final journey. Hearing is the last sense we lose as our bodies shut down. So therapeutic music is a very important program to offer residents.
Healthcare quality improvement starts with people and a culture dedicated to empowering them to serve patients and residents. Empowered people led by inspiring leaders are the key to quality improvement in aging services. In short healthcare quality improvement and culture change are tied at the hip.
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Concerts at Home-Perfect Marketing Tool for Home Health and Hospice Providers
Electronics have revolutionized the world of activity programming for independent, assisted living and long term care facilities. Digital ideas must be part of every activity department! Linked Senior is a way to use technology to create activities customized to individual needs and to empower activity and programming staff.
Alleged incidents of abuse, neglect and mistreatment among different races, classes and religious groups in long-term care facilities has been reported. Being aware of cultural differences and knowing that they can impact care delivery is important. And the development of culturally sensitive programs can help bridge differences, positively impact care and lead to increased resident, family and employee satisfaction.
In October 2012, penalties for certain readmissions started for hospitals. With that came a new reliance by hospitals on their long-term care partners. A new breed of primary care providers called SNFists or SNFologists are full-time physicians in skilled nursing facilities, who are more readily available to patients at risk for readmission.
class="no-js" itemscope itemtype="http://schema.org/Article" > Federal regulations require that Medicare-
The National Association of Long Term Care Administrator Boards (NAB) is composed of state boards or agencies responsible for licensing long term care administrators. The basic objective of the Association is to assist these boards and agencies in carrying out their responsibilities in the licensure and re-licensure of long term care administrators. One of NAB'S functions is the development of the national nursing home administrator examination. This article looks at the third area of testing - Finance.
The Patient Protection and Affordability Act called for the creation of accountable care organizations as part of the delivery model of care. While aging services were in some ways left out of the discussion it is important for them to understand what an accountable organization is and how they might fit in one eventually.
Palliative Care is a misunderstood service most often associated with death and dying. In reality, palliative can give people a longer quality of life during any stage of life. It is specialized medical care for those with serious illnesses that focuses on providing patients with relief from the symptoms, pain, and stress of that illness. The goal is to improve quality of life for both the patient and the family.
RAND Study Looks at LTSS - 25 Options 5 Objectives Outlined
The arena of hospice care reimbursement is often misunderstood by the public and in fact a perception that it is not a covered service often makes caregivers shy away from seeking hospice services. This is what your potential clients should understand. Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit, and most private insurers. If a person does not have coverage through Medicare, Medicaid or a private insurance company, hospice will work with the person and their family to ensure needed services can be provided.
Employee evaluations are deadly. Deadly because they often ask the wrong questions. Were you absent? How often were you tardy? How often was your documentation late or missing? When was the last time you saw an evaluation form that said: I saw you take a resident outside on a sunny day ____ many times this year. I saw you bring a smile to a resident's face ____ many times this year. Perhaps evaluating from the heart and not the head is in order. See how one administrator did it in his facility.
The hospice care team is obviously an integral part of a person’s care that assure that the there is a true quality of life at the end of life.
Despite all the technology, fancy buildings, dining and activity experiences, healthcare boils down to one thing – human relationships. When life and death is at stake, it is imperative that staff are engaged, focused and passionate about providing the very best healthcare.
The medical establishment does not deal well with death so do not expect them to tell you when it is time for extraordinary measures to stop and hospice care to begin. Know the signs at the end of life when it's time to call hospice.
Ceding Flu Shot Administration to Pharmacy Improves Compliance
Each of us has the right to die pain-free and with dignity, and that our loved ones will receive the necessary support to allow us to do so. That is the belief of the National Hospice and Palliative Care Organization and is reflected in the work that hospice providers do around the country. Yet hospice is very misunderstood. Let’s start clearing this up.
Let's face it. Claims processing is a pain! But if you are diligent in submission and tracking, you stand a better chance of getting paid on time. Let's look at some best practices in filing.
Consistent assignment, the idea that residents/clients see the same caregiver(s) all the time, results in more satisfied residents/clients and staff, less turnover and better quality of care. With better quality and better experiences, people talk. And word of mouth is your most potent marketing tool. Consistent staffing is the perfect formula for sustaining and growing your long-term care business.
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey is designed
Skin conditions, such as pressure ulcers, are a big concern in both nursing and assisted living facilities. MDS 3.0 Skin Conditions updates protocols for pressure ulcers, wounds, or lesions so that facilities can recognize and evaluate each resident’s risk factors and identify and evaluate all areas at risk of constant pressure.
The convenience and immediacy of videoconferencing is infiltrating healthcare as a value-added service and as long as patient's choices and services are not removed by the addition of technology, people will only continue to appreciate the possibilities.
Having the talk with your parents about care options as they age needs to happen sooner in life not later. Long-term care providers need to help.
According to the National Association for Home Care and Hospice, home care began in the US in the 1880’s. Approximately 12 million individuals currently receive care from more than 33,000 providers. In 2009, annual expenditures for home health care were projected to be $72.2 billion. With a continued emphasis on aging in place, home care will continue to have its place in the aging continuum but it is not without its challenges.
A long-term care career ladder is a structured sequence of job positions through which a person progresses in an organization. While common in many industries, aging services has been slow to embrace this concept. In this article we look at how to start building a career ladder for positions in long term care such as certified nursing assistants and home health aides.
CRM, or Customer Relationship Management, is a business strategy designed to reduce costs and increase profitability by solidifying customer loyalty. This allows customer facing employees in such areas as sales, customer support, and marketing to make quick yet informed decisions on everything from cross-selling and upselling opportunities to target marketing strategies to competitive positioning tactics. In long-term care it can also go a long way in enhancing the resident/patient experience.
Knowing what is happening in the world is more important than ever for you as an activity director and for your residents. NewsCurrents Sr., a computer based news service was created by Judith Laitman. Check it out.
There are many quality initiatives being pursued in the aging services sector. Many overlap. Often you will see many of the same quality organizations in long-term care and aging services cooperating on these initiatives. Sometimes there are separate initiatives being pursued. Being versed in the healthcare players can jump start your education around quality and aging services.
The Hebrew Home for the Aged in Riverdale, New York is a benchmark organization when it comes to honoring resident preference among a sensitive topic - sex.
Recreation Activity Resources offers educational services for Therapeutic Recreation Specialists, and Activity Directors including an online and home study version of NCCAP-Modular Education Program for Activity Professionals 2nd Edition Courses (MEPAP I and II) and CTRAC version. Earning CEUs online is a great way for busy professionals to stay current in their education.
Aging Services Providers will increasingly be tasked to figure out ways to reduce hospital admissions from long-term care settings. And there will be financial implications. The Long-Term Quality Alliance offers some advice on reducing hospital admissions.
As the number of ethnic and minority populations age and as the lesbian, gay, bisexual, transgender (LGBT) community ages as well, being culturally aware will become more important in aging services. And serving these populations with respect and dignity will be a driving force behind true culture change. Let's take a look at cultural sensitivity in long term care.
There’s an old saying in journalism, “Everyone has a story”. Activity directors know this is true. But how do you draw out the fascinating tales of your residents’ lives in a way which preserves and shares this unique view of history? How do you help them to tell their life story?
There is no shortage of disasters sweeping the world. And in some cases, no amount of preparation can spare you from bad consequences. But having a disaster plan in place for your facility can minimize those consequences. Start with a plan and then practice, practice, practice.
Art activities are essential components of an activity program. One of the challenges that program coordinators face is the lack of attendance.
Home Health Aides-The Front Lines of the Future
Career ladders encourage, recognize, and reward capable employees. Successful performance and acquisition of additional skills through education or training prepare individuals for the next job level. Formal career ladder programs can be found in organizations large enough to have a hierarchy of related occupations plus enough growth and turnover to allow for movement up the ladders. Let's explore the advantages of career ladders.
The magic of books is what Shadowbox Press brings to people living with dementia. The disease may eliminate the ability to understand complex dialog or even words, but through Shadowbox Press editions their joy of reading continues.
Remember your last really bad day at work? Feeling frustrated, maybe sad, and perhaps even angry at the end of the day? And then remember getting in your car, starting the engine and suddenly your favorite song from high school is blasting through the radio speakers. The next thing you know, you are singing, smiling and your mood has totally changed! Imagine recreating that atmosphere for elders in nursing facilities. That is the idea behind Music and Memory, a program that is improving the quality of life of the elderly and ill through iPod based personalized music.
For CNAs to succeed they need to build a career ladder for success. The Extended Care Career Ladder Initiative (ECCLI) is part of the Massachusetts Nursing Home Quality Initiative. It offers a grant program available to Massachusetts nursing homes and home health agencies to support development of career ladders and other training initiatives for frontline workers. Other states could learn a lesson from this program.
Honoring residents’ choices in dining actually positions staff to get better clinical outcomes. Choices provide a road map for how to implement care interventions to meet care goals.
Nothing says home like the smell, sight and taste of a familiar recipe. One senior living organization is using a cookbook to evoke memories for seniors under their care.
65+ in the United States-New Census Report; New Surprises
Each of us has the right to die pain-free and with dignity, and that our loved ones will receive the necessary support to allow us to do so. That is the belief of the National Hospice and Palliative Care Organization and is reflected in the work that hospice providers do around the country. Yet hospice is very misunderstood. Let’s start clearing this up.
Primary Care Docs On Frontline of Alzheimer’s / Dementia Detection
Medical and non-medical errors happen in aging services every day. How you disclose them is critical to your organization's reputation. You do disclose them don't you?!
Gene Sequencing Will Help Identify Alzheimer's Sooner
Lori Juneau-Alford is... Assisted Living.
Does Pay for Performance Work? Depends on Who You Ask.
Hospice Facts and Stats tell a compelling story of a growing business and a diversified patient mix.
A report by the American Health Care Association (AHCA) shows that the nation’s nearly 16,000 nursing homes provide $153.8 billion of direct economic impact to state economic activity (1.1%) and $371.9 billion of total impact (2.7%) to state economic activity. Clearly the economic impact of long-term care is large.
Scouts can be a vital component in your activities programming. They are always looking for community projects and can be a help with clean-ups, gardening, building bird houses and so much more. Scouts can read to residents, demonstrate crafts and teach songs.
There is no worse place to introduce a flu epidemic than in a health care setting. And nursing homes and the flu could be a deadly combination. Here are things to keep in mind for preventing and/or containing the spread of flu in your facility.
How can the activity director help residents continue the spiritual side of their life? Let's find out in this article.
The Medicare Recovery Audit contractor program has successfully recovered over $1 billion in over-payments to providers. And this process is now extended to Medicaid. Find out what you need to know about protecting yourself against and audit and preventing one from taking place at all.
Project Looking Glass II, an effort that placed a researcher in a retirement community for one month, uncovered some interesting findings on technology’s importance and intimidation factors for seniors.
Physical therapists careers are expected to grow much faster than average and job opportunities are good. More and more nursing homes are employing physical therapists as the industry embraces the rehabilitation business. In terms of hiring and staffing, this is a profession in demand.
HELP US TO MAKE THE VOICES OF PEOPLE LIVING WITH DEMENTIA HEARD IN WASHINGTON DC!
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey is designed to help providers measure client/patient satisfaction. This article looks at the requirements and guidelines for creating and assigning a unique sample identification (SID) number, decision rules related to processing returned mail survey questionnaires, assignment of survey disposition codes, and quality control measures.
Of the 14.3 million jobs for wage and salary workers in healthcare, 40 percent were in hospitals; another 21 percent were in nursing and residential care facilities; and 16 percent were in offices of physicians. Page 4.
LifeStories a program that uses resident information, reminiscing, validation therapy and research on the web to help residents share and discuss their history.
Registered nurses are absolutely essential to quality health care. Board certification is the gold standard of excellence for many professions. For nurses employed in long term care, being certified as a Gerontological Nurse is the mark of distinction.
Politics is always a hot topic and no more so than in the health care arena. Being versed in health care advocacy and the basics of advocacy and lobbying are good skills to acquire and can be good for your business.
The DMEPOS Competitive Bidding Program was mandated by Congress through the Medicare Prescription Drug, Improvement, and Modernization Act(MMA). The statute requires that Medicare replace the fee schedule payment methodology for selected Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items with a competitive bid process. It has proved controversial and is also a sought out topic on this site.
Hospitals and long-term care facilities are legally bound by a set of standards that dictate the hardware and equipment available for patient care activities. First authored in 1974, UL 1069 represented state-of-the-art technology. Since 1974, UL 1069 has been updated; it is currently in its seventh edition. From a technology standpoint, however, even the most current edition of UL 1069 is not significantly different from prior editions and still outlines a system that relies heavily on traditional hardwired nurse call components. Starling®—a system developed by StarlingHealth with funding from the National Institutes of Health—utilizes relatively new technology and leverages data to enhance workflow efficiency and improve the patient experience.
What constitutes inappropriate activity in a nursing home. Well strippers might qualify!
As the push for aging in place grows, Adult Day Centers will become increasingly important. And the rules governing them will grow as well. The certification of these centers is important. In this article we look at one state’s requirements – Oregon – as a template for other states and for providers contemplating entry into this market.
Ceramics can be a fun activity for all ages. And particularly it can be used for the short-stay rehabilitation patient too. Let's look at how to get started with using ceramics in your activity program.
The caregiver trap is a term that describes that place in a human relationship where we feel trapped into doing something for a client when know we should not. Activities directors can get sucked into that trap.
It happened again this week. Mrs. Jones took Mrs. Smith’s walker, by mistake of course, but it still lead to unkind words. Shrinkins has a better solution for residents’ identifying instantly their walker and/or cane even in a crowded dining room or social gathering.
Honoring residents’ customary routines provides the blueprint for meeting the challenge of CMS’ new initiative to reduce the use of anti-psychotic medications by 15% by December 31, 2012.
The Centers for Medicare & Medicaid Services (CMS) has partnered with the Agency for Healthcare Research and Quality (AHRQ) to develop surveys measuring patient perspectives of care in home health. Here is the top-level information you need to know for success in acquiring and acting on meaningful data.
Memory Magz® and Memory Mealz™ specialize in holistic approaches to dementia care. It recognizes four pillars: Environmental, Communication, Nutritional & Engaging Activity.
The love stories found in our CCRCs, assisted living and nursing homes are true testaments of lives lived well, with integrity and dignity. We can all learn lessons from the ones we care for every day.
Love & Art is a charity that brings the experience of viewing art museum collections to your residents.
Falls are a leading cause of injury, morbidity, and mortality in older adults. While MDS 3.0 guidelines looks to help providers minimize fall risks, there are apparent fall reduction mechanisms, like alarms, that actually contribute to falls as opposed to preventing them. In this article, we look at how to reduce alarms and therefore falls in facilities.
A comprehensive culture sensitivity program in nursing homes should discuss overall organizational cultural competence as well as focus on the specific population groups and/or health issues that are relevant to the community. A well-rounded program also should help clinicians with diagnostic issues, such as identifying health conditions specific to certain ethnic patient populations or conducting skin assessments for patients with skin of color.
A Glossary of Medicaid Terms from A-L
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey is designed to measure the experiences of people receiving home health care from Medicare-certified home health care agencies.
Improved management of chronic pain can significantly reduce disability in older adults. Pain in aging adults has historically been poorly reported, recognized and managed. Let's take some actions steps.
CATIE is an interactive multimedia application for two-way communication and self-service to help residents of senior living communities stay connected to family, friends and the world around them. It was named a Program to Watch by the Assisted Living Federation of America in 2012.
The financing of long-term care can be confusing, expensive, and onerous. There are five ways to pay for care.
In our continuing series on Adult Day Services, we devote this article to staffing. Here are some considerations. All employees and volunteers must have a background check. Each staff person and volunteer must be competent and qualified for the position held. Staff must hold personal information about participants and their families in confidence, treating all participants with respect and dignity. Let’s look at the requirements.